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Trial · NCT02474355

Real World Treatment Study of AZD9291 for Advanced/Metastatic EGFR T790M Mutation NSCLC

NCT02474355, Phase 3, Completed, AstraZeneca; results first posted 2021-10-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Real World Treatment Study of AZD9291 for Advanced/Metastatic EGFR T790M Mutation NSCLC. Trials, record NCT02474355. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02474355

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Real World Treatment Study of AZD9291 for Advanced/Metastatic EGFR T790M Mutation NSCLC
NCT number
NCT02474355
Status
Completed
Phases
Phase 3
Enrollment
3,017 participants, actual
Lead sponsor
AstraZeneca
Conditions
Lung Cancer
Interventions
T790M+ Testing, Baseline Visit Blood & Urine Testing, Baseline ECG, Visual Slit-Lamp Testing, AZD9291 Dosing
First posted
2015-06-17
Last updated
2021-11-11
Results first posted
2021-10-25
Limitations and caveats
Participants alive at the time of national reimbursement or site closure were no longer followed for survival and therefore prematurely censored for the OS, PFS, and TTD analysis, leading to less mature data. As the timing of reimbursement and study closure differed between countries, duration of follow-up between sites and countries differed.

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Survival (OS)From the date of first dose of Osimertinib until the date of death (due to any cause) or last participant contact [up to 43 months]
OS was defined as the time, in months from the date of first dose of Osimertinib until death due to any cause, or at last documented contact with participant status "alive" (in this study any participants alive at study discontinuation, or lost to follow-up was considered being censored at study discontinuation date or at the last known date participant was alive). OS was summarized using a Kaplan-Meier (KM) estimate of the median time to death or censoring together with their 95% confidence intervals.
PrimaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From screening to progression follow-up [every 6 weeks +/- 1 week] relative to the date of enrolment until the end of study [up to 43 months]Safety assessment of Osimertinib was analyzed by evaluating AEs and SAEs.
SecondaryProgression Free SurvivalFrom the date of first dose of Osimertinib until disease progression or death in the absence of progression [up to 43 months]
PFS was defined as the time, in months from first dose of AZD9291/ost/study drug/ study treatment until the date of disease progression or death in the absence of progression. Participants who had not progressed or died at study discontinuation were censored at the time of the latest date of disease assessment. PFS was summarized using KM estimates of the median time to progression or death with their 95% confidence intervals.
SecondaryTime to Treatment Discontinuation (TTD)From the date of first dose of Osimertinib until disease progression or death in the absence of progression [up to 43 months]
TTD or death was assessed as a supportive summary to PFS and defined as the time from the date of the first dose of osimertinib in the study until the date of osimertinib discontinuation or death, regardless of the reason for discontinuation. TTD was summarized using KM estimates of the median times to progression or death or treatment discontinuation.
SecondaryResponse Rate (RR)From the date of first dose of Osimertinib until disease progression or death in the absence of progression [up to 43 months]
RR was defined as the number (%) of participants with a best response (by Investigator assessment) of 'responding', regardless of the method of evaluation, and was based on a subset of the full analysis set consisting of subjects with at least one documented response assessment. RR was summarised together with the 95% CI.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Survival (OS)From the date of first dose of Osimertinib until the date of death (due to any cause) or last participant contact [up to 43 months]The full analysis set included all participants who received at least one dose of study treatment. No statistical tests were performed, the statistical analyses were descriptive.MonthsMEDIAN
PRIMARYNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From screening to progression follow-up [every 6 weeks +/- 1 week] relative to the date of enrolment until the end of study [up to 43 months]The full analysis set included all participants who received at least one dose of study treatment.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProgression Free SurvivalFrom the date of first dose of Osimertinib until disease progression or death in the absence of progression [up to 43 months]The full analysis set included all participants who received at least one dose of study treatment. No statistical tests were performed, the statistical analyses were descriptive.MonthsMEDIAN
SECONDARYTime to Treatment Discontinuation (TTD)From the date of first dose of Osimertinib until disease progression or death in the absence of progression [up to 43 months]The full analysis set included all participants who received at least one dose of study treatment. No statistical tests were performed, the statistical analyses were descriptive.MonthsMEDIAN
SECONDARYResponse Rate (RR)From the date of first dose of Osimertinib until disease progression or death in the absence of progression [up to 43 months]The full analysis set included all participants who received at least one dose of study treatment. No statistical tests were performed, the statistical analyses were descriptive.Percentage of participantsNUMBER

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Survival (OS)Osimertinib22.895% Confidence Interval 21.6 to 23.8Months
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibAE of special interest (AESI) or SAE923Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibAESI or SAE a causally related to Osimertinib338Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibAE leading to dose modification414Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibAE leading to discontinuation191Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibAESI113Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibAESI causally related to Osimertinib89Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibSAE657Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibSAE causally related to Osimertinib95Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)OsimertinibAE leading to death152Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOsimertinib3,014
Overall StudyCOMPLETEDOsimertinib1,386
Overall StudyNOT COMPLETEDOsimertinib1,628

Adverse events484

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherThrombocytopeniaBlood and lymphatic system disordersOsimertinib203,014
otherNeutropeniaBlood and lymphatic system disordersOsimertinib163,014
otherMyelosuppressionBlood and lymphatic system disordersOsimertinib63,014
otherAnaemiaBlood and lymphatic system disordersOsimertinib53,014
otherLeukopeniaBlood and lymphatic system disordersOsimertinib33,014
otherPancytopeniaBlood and lymphatic system disordersOsimertinib13,014
otherSinus bradycardiaCardiac disordersOsimertinib23,014
otherVentricular extrasystolesCardiac disordersOsimertinib23,014
otherAtrial fibrillationCardiac disordersOsimertinib13,014
otherAtrioventricular block first degreeCardiac disordersOsimertinib13,014

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOsimertinib1,3613,014
Total, other adverse eventsOsimertinib3803,014
Total, serious adverse eventsOsimertinib6573,014

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35050743DERIVEDPubMed
36656302DERIVEDPubMed
37316692DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02474355

GET https://conductscience.org/api/trials/v1/NCT02474355/events?page=2